Breast And Skin Flashcards
is a clinical presentation of advanced breast cancer
Inflammatory breast cancer
worse prognosis and is treated with chemotherapy prior to surgery.
Inflammatory breast cancer
Since it is confined to the ducts, it cannot metastasize (thus no axillary sampling is needed).
Ductal carcinoma in situ
Total mastectomy is recommended for multicentric lesions throughout the breast; many practitioners add a sentinel node biopsy in those patients in the event that invasive cancer
DCIS
is breast cancer that is not amenable to surgical resection
Inoperable cancer of the breast
Treatment for inoperable breast cancer can include
any combination of chemotherapy, hormonal therapy (if hormone- receptor positive), or radiation, and is often considered palliative.
For tumors >1 cm, high-grade, HER2 positive, or positive axillary lymph nodes …… therapy
adjuvant systemic
• For small, low-risk tumors
hormonal therapy without chemotherapy if tumors are estrogen-receptor positive
In treatment of inoperable cancer of breast cancer
Premenopausal women receive…… , while postmenopausal women receive an ………
tamoxifen , aromatase inhibitor (e.g., anastrozole).
Persistent headache or back pain in women with a history of breast cancer suggests.……… is diagnostic
metastasis , MRI
The ………… are the most common location in the spine of metastatic tuner
vertebral body and pedicles
Recurrent metastatic breast cancer can also present with malignant; …………… thoracentesis with cytological examination is indicated.
pleural effusion
common, standard form of breast cancer
IDC
tend to have slightly better prognosis and are treated the same way as the standard infiltrating ductal.
IDC
Treatment for mastitis is ………
oral antibiotics
treatment for true abscess is
drainage via U/S guided fine needle aspiration
the main etiology of bloody nipple discharge;
Intraductal papilloma
firm, rubbery mass that moves easily with palpation treaeted with resection
Fibroadenoma
Age of fibroadenoma
Late teen to 30s
Age of cystosarcoma phyllodes
30s-40s
It often presents with :
bilateral tenderness related to the menstrual cycle and multiple lumps (cysts) that seem to come and go relative to
the menstrual cycle.
FCC / mammary dysplasia
FCC / mammary dysplasia often present with
bilateral tenderness related to the menstrual cycle and multiple lumps (cysts) that seem to come and go relative to
the menstrual cycle.
there is no ……… during the pregnancy and no ………
during the first trimester
radiotherapy ; chemotherapy
Reddish “orange peel” skin over the mass (peau d’orange), which is associated with ……… caused by lymphatic involvement and resultant skin edema
inflammatory cancer